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NPI Code Detail

MEDICARE: UPTOWN CARE AND REHABILITATION CENTER LLC

MEDICARE: UPTOWN CARE AND REHABILITATION CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1114597275
Entity Type Code : Organization
Provider Name (Legal Business Name) : UPTOWN CARE AND REHABILITATION CENTER LLC
Provider Business Mailing Address
First Line : 4920 N KENMORE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60640-3710
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4920 N KENMORE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60640-3710
Country : US
Telephone Number : 773-679-2700
Fax Number :
Authorized Official
Title or Position : AUTHORIZED SIGNER
Name : NISANEL SILVERBERG
Credential :
Telephone Number : 612-432-3701
Provider Enumeration Date : 06/30/2021
Last Update Date : 05/01/2026

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